4,610 FUT hair transplantation in Class 6 AGA, Caucasain

[Kulakarn]

Patient’s information

- 62 years old (Caucasian) Male with Androgenetic alopecia Class 6.

 

- Previous treatment:  He had been taken medication for hair loss for many years and now he would like to discontinue the medicine. He stopped taking Finasteride and Minoxidil 2 years before surgery. He did not realize any change after discontinuing the medicine.

 

We performed FUT hair transplantation to rebuild the frontal hairline as well as to add on the density from the top to crown area. 

The number of grafts breaks down into

1 hair unit x 1,156

2 hair unit x 2,720

3 hair unit x 734

Total number of grafts = 4,610 FUGs

Average hair: graft = 1.75

Total number 8,046 follicles

The photos reveal of 1 year result after our FUT procedure and expose the scar line.

 

 

Medication treatment

None

 

[jjalay]

For this number of grafts the result is rather dissapointing. I"m really not impressed.

[BackFromTheBrink]

Looks like a solid result to me.

Realistically it was 6-7k grafts to give full coverage, so I feel this is a natural result and gives the patient the option of a second surgery should they desire it to also fully populated the crown area.

[mr_peanutbutter]

18 hours ago, jjalay said:

For this number of grafts the result is rather dissapointing. I"m really not impressed.

zarev and pittella use like over 10k grafts on a norwood 6 patients. 

for the number of grafts i think its a decent result and given the age of patient probably something that made the patient happy. second round would probably possible but mabye the patient doesnt even want that

[shiba1985]

22 hours ago, jjalay said:

For this number of grafts the result is rather dissapointing. I"m really not impressed.

lol. 

this is a spectacular result. 

[jjalay]

5 hours ago, mr_peanutbutter said:

zarev and pittella use like over 10k grafts on a norwood 6 patients. 

for the number of grafts i think its a decent result and given the age of patient probably something that made the patient happy. second round would probably possible but mabye the patient doesnt even want that

If this is an argument to excuse every case with poor growth and waste of grafts, just saying pitella and zarev are using over 10k, then doctors like konior and couto only need 5K for a NW6 to achieve full coverage. Its really misleading coming up in cases like this throwing the name of the doctor who uses over 10k grafts to justify any bad result.

[Al - Moderator]

On 3/31/2024 at 1:42 PM, jjalay said:

For this number of grafts the result is rather dissapointing. I"m really not impressed.

 

This is a NW 6 with 4610 grafts. If you look at any NW 6 who had spectacular results (Gatsby, Zoomster, Melvin, etc) they all use 10,000+ grafts to get there over several sessions. This looks very good for 4610 grafts.

 

[jjalay]

2 minutes ago, Al - Moderator said:

 

This is a NW 6 with 4610 grafts. If you look at any NW 6 who had spectacular results (Gatsby, Zoomster, Melvin, etc) they all use 10,000+ grafts to get there over several sessions. This looks very good for 4610 grafts.

 

The rule of thumbs says that if you are a NW6 you need around 6k to get full coverage, that reguires ofcourse a succesfull surgery where the grafts are actually going to grow in. In this case 4610 grafts where used, the crown and the midscalp is still bald, and the hairline looks as thin as it was before surgery. This is a case of really poor growth.

You can look at other cases of NW6 where they got full coverage with 6K, dont put everything into the same basket. Againg its really misleading to say that a NW6 case needs 10k grafts to get full coverage.

[jjalay]

10 minutes ago, Al - Moderator said:

 

This is a NW 6 with 4610 grafts. If you look at any NW 6 who had spectacular results (Gatsby, Zoomster, Melvin, etc) they all use 10,000+ grafts to get there over several sessions. This looks very good for 4610 grafts.

 

This is an example of fut with 5000 grafts where the grafts did actuall grow in.I hope you can understand the comparison:

 

[Ccd99]

3 hours ago, jjalay said:

This is an example of fut with 5000 grafts where the grafts did actuall grow in.I hope you can understand the comparison:

 

Not a fair comparison IMO.

Case in OP has a graft ratio of 1.75, we don't know the ratio of the case you quoted, from what I can gather it's about 2.28 based on following:

On 5/30/2023 at 5:22 PM, mrmajified said:

27.7 x 2.1 cm

1H grafts - 681

2H grafts - 2854

3-4H grafts - 1394

Grafts-aside, that is considerable less hairs. In addition to this we also don't know the average hair thickness of the case you quoted nor of the case referenced in the OP, one could have thinner/finer hair and the other thicker hair.

[Gatsby]

As a very ‘rough’ rule of thumb it takes about 1,000 grafts per Norwood level. From Norwood 5 onwards I would increase that to 1,500 at least. For the number of grafts I think this is a good result. 👌

[BackFromTheBrink]

There's also the positive result from taking medical therapy to consider. In this case, finasteride and minoxidil were not used so you're seeing the result for the surgery only, whereas many other cases are actually a result of both.